ORDER FORM

Please complete this form and mail it to:

Cripplebush Valley Models

264 Saddlemire Hill Road

Sloansville, NY 12160-2408

Check or money order made out to Cripplebush Valley Models must be included.

We only accept credit cards via our website (http://www.cripplebush.net).

Ship To:
Street Address:
City, State, Zip code:
Phone Number:
If we need to contact you, is this phone number for Daytime o or Evening o ?
E-mail address:

Item Name (dimensions: width x height, inches)

/

Price/Item

/ Quantity / Total Price
Blocky Rock 1 (31 x 9) / $50.00
Blocky Rock 2 ( 16 x 4) / $30.00

Rounded Beds (32 x 8)

/ $50.00
Granite 2 (20 x 10) / $45.00
Granite 3 (10 x 6) / $15.00
Granite 4 (22 x 8) / $45.00
Granite 5 (20 x 15) / $50.00
Quarry 1 (21 x 7) / $40.00

Limestone Bluff (25 x 9)

/ $50.00
Santa Fe Canyon 1 (30 x 12) / $70.00
Santa Fe Canyon 3 (26 x 6) / $40.00
Santa Fe Tunnel (32 x 8) / $50.00
Shale 1 (8 x 5) / $25.00
Shale 2 (12 x 4) / $20.00
Shale 4 (20 x 4) / $35.00
Shale 6 (10 x 3) / $20.00
Shale 8 (17 x 3) / $20.00
Shale 9 (15 x 4) / $20.00
Shale 10 (23 x 4) / $35.00
Shale 15 (9 x 9) / $20.00
Shale 17 (16 x 7) / $25.00

Shale 18 (32 x 7)

/ $50.00

Shale Cut (24 x 6)

/ $40.00
Rotten Shale Hilltop (9 x 5 x 3 high) / $30.00

Weathered Mesa (19 x 9 x 6 high)

/ $80.00

Basalt 1 (31 x 7)

/ $50.00

Basalt Columns (8 x 8)

/ $20.00

Pinnacles (10 x 5 x 3 high)

/ $30.00

Stream Bed 1 (32 x 12 to 3)

/ $50.00

Sheer Cliff 1 (13 x 7)

/ $20.00

Sheer Cliff 3 (11 x 6)

/ $20.00

Sheer Cliff 4 (11 x 6)

/ $20.00

Urban Outcrop (6 x 28)

/ $50.00
NEW! CHEAP JUNK FROM CRIPPLEBUSH VALLEY MODELS!

HO scale Tire Piles

/ $20.00

HO scale Oil Drum Dump

/ $20.00
Subtotal
NY Residents add sales tax (8.25%) / $
$
U.S. Shipping and Handling (USPS Priority Mail or UPS Ground):
Subtotal under $29.99 $5.00
Subtotal $30.00-$49.99 $10.00
Subtotal $50.00-$199.99 $15.00
Subtotal $200.00 and over FREE SHIPPING!
International Shipping and Handling (USPS International Priority Mail):
Canada All other countries
Subtotal under $80.00 $14.00 $20.00
Subtotal $80.00-$200.00 $24.00 $35.00
Subtotal $201.00-$400.00 $36.00 $45.00
Subtotal $401.00-$600.00 $50.00 $60.00
Subtotal $601.00 and up CONTACT US!
Shipping and Handling
TOTAL DUE / $
$

V07032009